HomeMy WebLinkAbout99-022 PDQ Live Bait Sign Permit
City of Prior Lake
APPLICATION FOR SIGN PERMIT
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White - Applicant
Yellow - City
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DIRECTIONS: Spaces numbered 1 thru 10 must be filled in before permit is issued
(Please print or type, and sign where required
2. APPLICANT: (NAME)
RLC HAev
3. OWNER:
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(NAME)
1. PARCEL NO. OF PROPERTY:
.,).s- -- 10'f - 19/6 -tJ
(ADDRESS) GJ'Jv'1?t.krtJ (PHONE)
~L{"35 f"NJUAfV Ltv. [JJ)etJ P2ftJf.j{/!htv 5~7tl)
(ADDRESS) (PHONE)
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5. TYPE OF SIGN:. 'TEMPORARY (21 DAYMAXIMUMDISP PERMA 'f(VT(WALLlMARQUEElAWNING/FREESTAN
Balloon * Banner*Busin ~lulHgell1JtiFCoPJrstgiis'''COiiitructlOn 19ns Illuminated Signs*lnstitutional Signs*Lake Service Signs*
Multiple Residential Nameplate Signs*On-Premise Directional Signs*Permanent Window Sign*Portable Sign*Subdivision Identification Signs
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(PHONE)
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4. SITE ADDRESS OR LOCATION OF SIGN
6. SIGN DIMENSIONS
(square feet)
7~5
(Height)
lil(
(Width)
f,f
(Depth)
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o. Esti~!ed Value of Sign
ItJb ~ .
11. Completion Date
7. TYPE OF CONSTRUCTION
I hereby certify that I have furnished information on this application which is, to the best of my knowledge, true and correct. I also certify that I am the owner
or authorized agent for the above-mentioned property, and that all construction will conform to all existing state and local laws and will proceed in accordance
with submitted plans. I am aware tha. t the City Planner can revoke this permit for just cause. F. 'f=' I h=by ..= <hat Cby Oftj,i., ~ , ""i"".
thereof may enter upon the property ~ ~ /11 t:;r:]
SIGNATURE OF PROPERTY OWNER/AGENT DATE
FOR ADMINISTRATIVE USE
SUBMISSION REQUIREMENTS
~omPleted Application
Scale Drawing showing location of sign
~ans and Spec
Permit Fee $ !e.. (permit fee is set
at time of application ccording to approved schedule)
This APPlieatiOn~n Permitwhen approved.
By . ~
ity Plan or designee
Date
(g-k9-cn
This is to certify that the request in the above application and accompanying documents is in accordance with the City Sign Ordinance and may proceed as
requested. This document, when signed by the City Planner or designee constitutes a temporary Certificate of Zoning compliance and allows construction to
commence.
24 Hour Notice for All Inspe tions
447-4230 from 9:00 a.m. - 10:00 a.m.
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CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(612) 447-4230, FAX (612) 447-4245
RECEIPT # 34568
DATE: ~ I D-t1.C,
Received oLJl,~t& <;-e.v..e.....-"'S
the sum of r9:A.e - ,4~~~~F\-~~~ . +-.~-i9<'tJ
for the purpose of $~--r~.~. ~~""A"''''- S<:~4'" ~~
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-- dollars
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Invoice #
$ J I 5~
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Receipt Clerk for the City of Prior Lake
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